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ESSENTIALS OF
FAMILY MEDICINE SIXTH EDITION PHILIP D. SLOANE, MD, MPH Elizabeth and Oscar Goodwin Distinguished Professor Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina
LISA M. SLATT, MEd Associate Professor Associate Director, Medical Student Programs Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina
MARK H. EBELL, MD, MS Associate Professor, Department of Epidemiology and Biostatistics College of Public Health The University of Georgia Editor-in-chief, Essential Evidence Deputy Editor, American Family Physician
MINDY A. SMITH, MD Professor, Department of Family Medicine Michigan State University College of Human Medicine East Lansing, Michigan Associate Editor, FP Essentials TM
DAVID V. POWER, MB, MPH Associate Professor, Director of Medical Student Education Department of Family Medicine and Community Health University of Minnesota Medical School Minneapolis, Minnesota
ANTHONY J. VIERA, MD, MPH Assistant Professor Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina
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[email protected] or via website at lww.com (products and services). 987654321 Library of Congress Cataloging-in-Publication Data Essentials of family medicine / [edited by] Philip D. Sloane ... [et al.]. – 6th ed. p. ; cm. Includes bibliographical references and index. Summary: “Perhaps more remarkable is how much hasn’t changed in the past quarter century. The patient-centered encounter remains the backbone of effective care, whether in the office, on